Why Don't Americans Commonly Discuss Advanced Care Directives?

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It's human nature to put things off. People don't say I'm 40 years old or I'm 50 years old, I think I need an advance directive or I need a will or I need I living will. We don't often have the conversation it tends to be grim it tends to be serious at ARP we had research indicating that older people were more interested in having that conversation than their adult children.

And so I think it's partly human nature, it's partly the way the system is set up but we can overcome it. There are two important conversations and maybe they need to go together but one one is the conversation that families have, the other is the conversation with your physician and you are an adult person's physician as he or she ages.